Healthcare Provider Details

I. General information

NPI: 1053157354
Provider Name (Legal Business Name): ANA ISABEL MARTINEZ SAAVEDRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2024
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 SW 94TH PL
MIAMI FL
33165-3013
US

IV. Provider business mailing address

3300 SW 94TH PL
MIAMI FL
33165-3013
US

V. Phone/Fax

Practice location:
  • Phone: 786-652-1513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-358082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: